Child & Adolescent Crisis Program
Lisa Davis, Clinical Director
Carlos Aguila, Clinical Program Manager
Child and Adolescent Crisis Program (CACP)
• Providing mobile community based crisis intervention
services for 19 years
• CACP is referred to as the “safety net” for Santa Clara
County
• Serve 650 youth annually
• Achieve a hospitalization diversion rate of 70%
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CACP- Uniqueness
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Target population to include every child and adolescent living in Santa
Clara County
Service availability to every school, clinic, police and sheriff
departments, and the community at large.
Specialty expertise of the clinical staff
– Training in all aspects of crisis intervention
– Average years of employment is 14.5
• Provide training in crisis intervention to community partners
Outcomes:
– Improves the overall crisis response of our community
– Improves the handling of crises by recipients of the training
– Targets specifically their ability to reduce the trauma and
stigma of the crisis experience for kids and families involved.
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Santa Clara County Police Departments
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San Jose
Milpitas
Sunnyvale
Morgan Hill
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Santa Clara
Campbell
Palo Alto
Los Altos
Santa Clara County Mental Health Community Partners
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Alum Rock
Bill Wilson Center
Center for Living with Dying
Las Plumas Mental Health
Fair Oaks Mental Health
Bascom Mental Health
Ujirani Family Resource Center
AACI
Ujima Adult and Family Services
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Gardner Mental Health
KARA
Santa Clara County Mental Health
YWCA Rape Crisis Center
San Andreas Regional Center
Almaden Valley Counseling Services
Parents Helping Parents
NAMI
Santa Clara County Schools (partial listing)
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Addison
Almond
Bernal
Blach
Braham
Challenger
Covington
Dartmouth
Daves
Del Mar
Escondido
Fair
Fischer
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Gardner Loyola
Gunderson
Gunn
Hubbard
James Lick
John Muir
Linda Vista
Loma Prieta
Los Gatos
Montgomery
Ocala M.S.C. T.
English M.S.
• PACT/Sherman
Oaks
• Palo Alto
• Pioneer
• Reed
Elementary
• Rolling Hills
• Rosemary
• San Jose City
College
• Sheppard
• Silver Creek
• St Justin
• Stipe
• Stratford
Who We Serve
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Community Quotes
– " Thank you so much for the work that you do. Your services are definitely
needed in and are an asset to the community.” Barbara Thompson- NAMI
National Alliance for the Mentally ill.
– "Teaming with the mobile crisis program in assessing the kids that come into our
ER, allows our staff to more thoroughly serve our other patients that come into
our ER. Without their service, our hospital staff would be spread very thin in
meeting the needs of all of our clients." El Camino Hospital
– "The crisis team allows our department's officers to leave the scene of a call with
the confidence that the families they are serving will be immediately helped. As
an added bonus, the families served by the crisis team are linked up with long
term resources in the community which ultimately translates into fewer future
calls." San Jose Police Department Sergeant
– "Wouldn't know what to do without the Crisis team. Your team has assessed
hundreds of kids in our district, and have saved lives!" Rachael Bull-Eastside
Union School District
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Program Service
• Information and Referral
– Consultation
– Response
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Intervention Process
Phone Screen
Initial Assessment
Call Clinician(s) with Info
Clinician (s) Arrive,
Call Consultant
Clinician (s) Begin
Assessment
Call Consultant-Determine Disposition
(Hospitalization or Safety Plan)
Present Case to HospitalGive heads-up to AMR
Develop Safety Plan-1 hr. 30 minutes
Pickup by AMR
• Home
• Residence Other than Home
• Respite Placement (e.g., Bill Wilson
Center, Other Family Member)
• May Need to Arrange Transport
Client in Transit to Hospital
Referrals for Follow Up Care
Bed Authorized by Hospital
Call AMR with go-ahead
Paperwork Processed
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CACP Provides
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Rapid-response services to all children and families in Santa Clara County
Services regardless of placement or funding
Collaborative safety planning and mental health risk assessments
Facilitation of emergency hospitalizations (5150) when necessary
Services to reduce unnecessary, over-utilization of law enforcement
resources
Professional clinicians who provide therapeutic intervention
Collaboration with other service providers working with youth
Referrals, information and support to children, families and professionals in
accessing services
Training for community partners to support children and families in Crisis
CACP Organizational Chart
Clinical Director
Lisa Davis, MFT
Associate Clinical Director
Linda Nunn, MFT
Administrative Assistant
Terrie Day
Clinician I
Full-Time
Bryan Rich, Ph.D., LMFT
Patricia Carrillo, ASW
Lieu Tran, ASW
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CACP Clinical
Program Manager
Carlos Aguila, ASW
Clinician I
19-Hour
Craig Barton, ASW
Melanie Valdez, ASW
Regan R Hunt, LCSW
Clinician I
On-Call
Ana Bandjak, MFTI
Carlos Smith, ASW
Kevin Burnside.MSWI
Marie Busque, LCSW
Clinician I
On-Call
Mark Taberna, MFTI
Melanie Valdez, ASWl
Michelle Jio, MFTI
Steven Richmond, LMFT
Trisha Graves, .ASW
Staff Comments
“I do crisis work because it's endlessly fascinating and
compelling, because it enables me to work with wonderful
people on my team and in the community, because it helps me
grow as a person and because I have a deep wish to provide
service to others. I love crisis work because it gives me the
opportunity to connect with the profound and awe-inspiring
depths and resources of the human spirit, in clients and
coworkers, day after day.”
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Staff Comments
• “I enjoy training staff and responding to
Crisis....Every day is different and every day I am
able to do something, at that moment, to really help
children and their families when they are hurting the
most.”
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Being Culturally Sensitive
• EMQ FamiliesFirst’s Child and Adolescent Crisis program
ensures that culturally competent services are provided
by:
– Maintaining a diverse staff with language capacity to match the
rich diversity of Santa Clara County
– Continuous training and supervision on cultural awareness
– Providing services in the child/caregiver’s preferred language
– Providing written materials in the child/caregiver’s preferred
language
– Assessing for cultural needs and factors that could impact
services
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Staff Ethnicity
Bi/Multi-Racial
13%
African
American
13%
Filipino
6%
Latin
American/
Hispanic
25%
Caucasian
37%
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Pacific
Islander
6%
Staff Language
English only
39%
Vietnamese
6%
French
6%
Bosnian
6%
Serbian
6%
Spanish
31%
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Croatian
6%
Youth Served 2010-11
90
80
81
81
70
71
68
60
55
50
45
40
10
0
16
48
41
30
20
55
31
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20
Jul
Aug
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
N=617
Youth Ethnicity
0.2%
0.3%
0.6%
1.5%
1.9%
0.3%
3.2%
4.5%
0.8%
0.2%
1.3%
0.6%
0.2%
0.2%
0.3%
0.2%
31.9%
Caucasian
2.9%
1.3%
30.5%
Hispanic
0.3%
5.2%
African American
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11.5%
Mex-American/Latino
Caucasian
Mex-American/Latino
African-American
Native American
Hispanic
Other Asian/Pac Island
Chinese
Cambodian
Filipino
Other Southeast Asian
Vietnamese
Latin American
Japanese
Non-White
Other
Unknown
Samoan
Asian Indian
Hawaiian Native
Korean
Laotian
Former Soviet
Mulitple
Youth Language
Youth Language
N=617
English
0.3%
Spanish
0.2%
0.3%
0.3%
8.4%
Spanish
0.8%
0.3%
Vietnamese
0.2%
0.2%
Chinese
Chinese Dialect
Farsi/Persian
Hindi
89.0%
English
Tagalog
Other
Unknown/Not Reported
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Who We Serve
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Profile
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Success Story
– Ryan
Quotes from Families
• " Quick response, very thorough, and professional."
• "To know this service is available so we don't have to go to the
hospital again."
• “Clinician was very informative, patient, and knowledgeable.
Clinician effectively answered my questions.“
• "They were very understanding and listened to my problems,
and don't judge me."
• "Care was thorough. The staff was highly skilled.“
• "The counselors are kind and helpful, and I also liked knowing
that I have extra support when I need it.“
• "Team showed us different ways to cope with my daughter.“
• " The counselor approach was positive and was able to provide
excellent information.”
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Hospitalizations/Safety Plans FY10-11
185
(29.98%)
Number of Hospitalizations
Number of Safety Plans
432
(70.02%)
Special note: Crisis response time is
less then 60 minutes 100% of the
time.
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“We do whatever it takes”
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